| Commack Dental Associates, Llp | |
|
164 Commack Rd Suite 4 Commack NY 11725-3430 | |
| (631) 499-3377 | |
| (631) 858-0586 |
| Full Name | Commack Dental Associates, Llp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 164 Commack Rd, Commack, New York |
| Authorized Official Name and Position | Gregory Wayne Kennedy (DR.) |
| Authorized Official Contact | 6314993377 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Commack Dental Associates, Llp 164 Commack Rd Suite 4 Commack NY 11725-3430 Ph: (631) 499-3377 | Commack Dental Associates, Llp 164 Commack Rd Suite 4 Commack NY 11725-3430 Ph: (631) 499-3377 |
| NPI Number | 1932318144 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 03/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932318144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 039664 (New York) | Primary |
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